Leslie Michelle Wagner
Massage Therapist
2710 Civic Cir
Amarillo
, Texas 79109-1648
Leslie Michelle Wagner
Massage Therapist
2710 Civic Cir
Amarillo
, Texas 79109-1648
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Leslie Michelle Wagner
- 2114 S Tyler St
- Amarillo, TX
- Zip : 79109-2633
- Phone :
Second Address
- Leslie Michelle Wagner
- 2710 Civic Cir
- Amarillo, TX
- Zip : 79109-1648
- Phone : (806) 236-7234
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FAQs
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What type of doctor is Leslie Michelle Wagner
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Is Leslie Michelle Wagner a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT042949 | TX |
National Provider Identifier
| NPI | 1023139326 |
|---|---|
| Provider Name | Leslie Michelle Wagner |
| First Address | Amarillo, TX 79109-2633 |
| Second Address | Amarillo, TX 79109-1648 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/04/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.